Fill and Sign the Nevada Right Lien Form

NOTICE OF RIGHT TO LIEN--CORPORATION (N.R.S. §108.245) TO: ______________________________ OWNER ______________________________________ ______________________________________ ______________________________________ OWNER'S ADDRESS The undersigned notifies you that they have supplied materials or equipment or performed work or services as follows: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ [General description of materials, equipment, work or services and anticipated total value] for improvement of property identified as ________________________________________________________________________ (property description or street address) under contract with _______________________________ (general contractor or subcontractor). This is not a notice that the undersigned has not been or does not expect to be paid, but a notice required by law that the undersigned may, at a future date, claim a lien as provided by law against the property if the undersigned is not paid. This the _____ day of ________________ , 20 ______ . ______________________________ Corporation ______________________________ By _____ _________________________ Print Name _____ _________________________ Title Notice of Right to Lien Page 1 of 2 Certificate of Delivery I, _____________________________________, hereby certify that I have delivered this day a true and correct copy of the foregoing to ___________________________________ by: ( ) Personal Service ( ) Mailing a true and correct copy of same by certified U.S. mail, postage prepaid, return receipt requested to _____________________________________. So certified this the ______ day of ___________________, 20____. ________________________ Signature NV § 108.245 Notice of Right to Lien Page 2 of 2